PRODUCTS
Perform+ Stars
Leverage an AI/ML decision engine to improve CMS Star ratings
Overview
Higher CMS Star ratings have significant financial benefit for Medicare Advantage plans, in the form of bonuses, rebates and stronger member enrolment. However, the dynamic and complex nature of the CMS Star program makes it difficult for health plans to strategize improvement programs, as the measures, weights, and cut points are moving targets that keep changing every year.
Perform+ Stars is an AI/ML based decision engine that enables health plans to obtain better data clarity and streamline decision support for Star measures. The solution combines our healthcare expertise, data science proficiency, and Embedded Intelligence Framework to deliver substantial improvements across the clinical value chain, ensuring holistic Star rating improvement.
Perform+ Stars: Advantage
Perform+ Stars leverages the power of AI to help health plans with their:
Single view of Performance
Track performance across all contracts along with performance trend & benchmarks
End-of-Year Performance Projection
Specialized dashboards to help identify target measures and align goals
Pre-built Models & Out-of-the Box Capabilities
Pre-built use cases – Contract Simulator, Network Optimizer and Incentive Designer
ROI-based Scoring for Outreach
‘What-if’ analysis of influencing factors and suggestions on optimal path to reach Stars goals
Prioritized Provider & Member Lists
Lists aligned to Stars goal, having high potential for performance improvement
Intuition-driven Goal Identification
Takes into account business intuition for optimal resource & budget planning
Single view of Performance
Track performance across all contracts along with performance trend & benchmarks
End-of-Year Performance Projection
Specialized dashboards to help identify target measures and align goals
Pre-built Models & Out-of-the Box Capabilities
Pre-built use cases – Contract Simulator, Network Optimizer and Incentive Designer
ROI-based Scoring for Outreach
‘What-if’ analysis of influencing factors and suggestions on optimal path to reach Stars goals
Prioritized Provider & Member Lists
Lists aligned to Stars goal, having high potential for performance improvement
Intuition-driven Goal Identification
Takes into account business intuition for optimal resource & budget planning
Measure Analysis
Inbuilt tabular and graphical views to provide detailed visibility on current ratings, Projected ratings and Goal ratings. What-if analysis to predict the impact of change in ease of closure, cost, available manpower, etc.
List Prioritization
Detailed view of prioritized providers and members that have a high potential for performance improvement. Easy to filter members and providers for each star goal based on their impact-ability and likelihood of engagement.
Recommendation Engine
AI-powered Recommendation engine that provides end-of-year performance projections based on historic trends and current performance. Also makes available recommended goals for Star ratings, with additional details such as ease of closure, cost of closure and available resources.
Knowledge hub
Our library includes a multitude of carefully chosen blogs, articles, webinars, etc. to help stay informed about the happenings of the industry
Explore other products
Our products help you accelerate innovation, go-to-market faster, lower risks and improve clinical, operational and value-based care outcomes.
.svg)
Request a demo
Get to know more about the products we offer. We are glad to help you.
